Individual
DEIDRA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4882 GLENCREE CT SW, POWDER SPRINGS, GA 30127-1110
(678) 852-3374
Mailing address
4882 GLENCREE CT SW, POWDER SPRINGS, GA 30127-1110
(678) 852-3374
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026377
GA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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